NURSING CARE PLANS
DIAGNOSES, INTERVENTIONS, AND
OUTCOMES
11TH EDITION
• AUTHOR(S)MEG GULANICK;
JUDITH L. MYERS
TEST BANK
Reference: Chapter 1 — What is a nursing care plan?
Stem:
A newly hired RN reviews a patient’s chart and sees a list of
diagnoses, goals, and interventions that were created after
admission. The RN asks why the plan is useful beyond
documentation. Which statement best describes the primary
,purpose of a nursing care plan?
The patient has multiple problems, and several disciplines are
involved in the care.
Options:
A. It replaces the need for ongoing assessment once the plan is
written.
B. It provides a framework for individualized nursing care and
communication.
C. It is mainly used to justify the provider’s medical treatment
plan.
D. It is designed only for discharge teaching.
Correct Answer: B
Rationale:
Correct: A nursing care plan organizes assessment data, nursing
diagnoses, interventions, and expected outcomes to guide
individualized care and support communication. It helps the
nurse deliver consistent, patient-centered care across the shift
and across disciplines.
A: Ongoing assessment is still required; the plan does not
replace reassessment.
C: The plan is nursing-focused, not a substitute for the
provider’s medical plan.
D: It is broader than discharge teaching and applies throughout
the episode of care.
,Teaching Point:
A care plan links assessment, diagnosis, interventions, and
outcomes for individualized nursing care.
Citation:
Gulanick, M., & Myers, J. (11th ed.). Nursing Care Plans:
Diagnoses, Interventions, and Outcomes. Chapter 1: What is a
nursing care plan?
2) Using care plans to individualize care
Reference: Chapter 1 — How to use nursing care plans:
diagnoses, interventions, and outcomes
Stem:
A nurse is caring for two adults with the same diagnosis of fluid
volume excess. One patient is independent at home and the
other has limited literacy and severe arthritis. Which action best
reflects individualized use of the care plan?
Both patients report the same symptoms, but their home
situations differ.
Options:
A. Use the same interventions for both patients because the
diagnosis is identical.
B. Base the plan only on laboratory values.
C. Adapt teaching, goals, and interventions to match each
patient’s abilities and needs.
D. Delay the care plan until all test results return.
, Correct Answer: C
Rationale:
Correct: Individualized care plans account for differences in
learning needs, function, resources, and preferences. Two
patients may share a diagnosis but need different interventions
to reach the same outcome.
A: Identical diagnoses do not mean identical care plans.
B: Lab data are important but not sufficient for a complete
nursing plan.
D: Planning begins with available assessment data and is refined
as more data arrive.
Teaching Point:
Same diagnosis does not mean same plan; tailor care to the
patient’s context.
Citation:
Gulanick, M., & Myers, J. (11th ed.). Nursing Care Plans:
Diagnoses, Interventions, and Outcomes. Chapter 1:
Individualizing a care plan.
3) Prioritizing nursing diagnoses
Reference: Chapter 1 — Prioritizing nursing diagnoses
Stem:
A postoperative patient reports incisional pain rated 8/10, has a
respiratory rate of 10/min, and is difficult to arouse after
receiving opioids. Which nursing diagnosis should the nurse
DIAGNOSES, INTERVENTIONS, AND
OUTCOMES
11TH EDITION
• AUTHOR(S)MEG GULANICK;
JUDITH L. MYERS
TEST BANK
Reference: Chapter 1 — What is a nursing care plan?
Stem:
A newly hired RN reviews a patient’s chart and sees a list of
diagnoses, goals, and interventions that were created after
admission. The RN asks why the plan is useful beyond
documentation. Which statement best describes the primary
,purpose of a nursing care plan?
The patient has multiple problems, and several disciplines are
involved in the care.
Options:
A. It replaces the need for ongoing assessment once the plan is
written.
B. It provides a framework for individualized nursing care and
communication.
C. It is mainly used to justify the provider’s medical treatment
plan.
D. It is designed only for discharge teaching.
Correct Answer: B
Rationale:
Correct: A nursing care plan organizes assessment data, nursing
diagnoses, interventions, and expected outcomes to guide
individualized care and support communication. It helps the
nurse deliver consistent, patient-centered care across the shift
and across disciplines.
A: Ongoing assessment is still required; the plan does not
replace reassessment.
C: The plan is nursing-focused, not a substitute for the
provider’s medical plan.
D: It is broader than discharge teaching and applies throughout
the episode of care.
,Teaching Point:
A care plan links assessment, diagnosis, interventions, and
outcomes for individualized nursing care.
Citation:
Gulanick, M., & Myers, J. (11th ed.). Nursing Care Plans:
Diagnoses, Interventions, and Outcomes. Chapter 1: What is a
nursing care plan?
2) Using care plans to individualize care
Reference: Chapter 1 — How to use nursing care plans:
diagnoses, interventions, and outcomes
Stem:
A nurse is caring for two adults with the same diagnosis of fluid
volume excess. One patient is independent at home and the
other has limited literacy and severe arthritis. Which action best
reflects individualized use of the care plan?
Both patients report the same symptoms, but their home
situations differ.
Options:
A. Use the same interventions for both patients because the
diagnosis is identical.
B. Base the plan only on laboratory values.
C. Adapt teaching, goals, and interventions to match each
patient’s abilities and needs.
D. Delay the care plan until all test results return.
, Correct Answer: C
Rationale:
Correct: Individualized care plans account for differences in
learning needs, function, resources, and preferences. Two
patients may share a diagnosis but need different interventions
to reach the same outcome.
A: Identical diagnoses do not mean identical care plans.
B: Lab data are important but not sufficient for a complete
nursing plan.
D: Planning begins with available assessment data and is refined
as more data arrive.
Teaching Point:
Same diagnosis does not mean same plan; tailor care to the
patient’s context.
Citation:
Gulanick, M., & Myers, J. (11th ed.). Nursing Care Plans:
Diagnoses, Interventions, and Outcomes. Chapter 1:
Individualizing a care plan.
3) Prioritizing nursing diagnoses
Reference: Chapter 1 — Prioritizing nursing diagnoses
Stem:
A postoperative patient reports incisional pain rated 8/10, has a
respiratory rate of 10/min, and is difficult to arouse after
receiving opioids. Which nursing diagnosis should the nurse
